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New Hampshire rates for HCPCS 0464T

Visual evoked potential, testing for glaucoma, with interpretation and report

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.42 / $61.60 / $70.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.97 / $104.97 / $182.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.23 / $130.63 / $244.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.86 / $112.29 / $175.52
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $2,750.00 / $3,500.00